* 3. What is your gender?

* 4. Which race/ethnicity best describes you?

* 5. Marital Status

* 6. What is the highest level of education you have completed?

* 7. What is your current employment status?

* 8. What is your annual household income (all sources included)?

* 9. How many people live in your household?

* 10. How many people in your household under the age of 18?

* 11. What language do you speak at home?

* 12. What type of health insurance do you currently have?

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